THE REVERE ADVOCATE – FRIDAY, NOVEMBER 13, 2020 Page 19 How to Participate Via Zoom Please use the link below to join the meeting: https://us02web.zoom.us/j/83752281372 Or Telephone: +1 301 715 8592 Webinar ID: 837 5228 1372 i. 120 Walnut Ave Attest: Paul V. Argenzio November 13, 2020 What Happens to Medicare if Obamacare is Overturned? Dear Savvy Senior, Will my Medicare benefits be affected if Obamacare is overturned by the Supreme Court? Concerned Benefi ciary Dear Concerned, Unfortunately, yes. If the Affordable Care Act (ACA) – also known as Obamacare – gets repealed by the Supreme Court next year, it will weaken Medicare and increase costs for benefi ciaries. Here’s what you should know. Currently, about 60 million people are covered under Medicare, the federal health insurance program for people 65 and older and people of all ages with disabilities. Even though the main aim of the ACA was to overhaul the health insurance markets, most people don’t realize that the law also touches virtually every part of Medicare. Without the ACA, Medicare benefi ciaries will have to pay more for preventive care services, which are now free; they’ll have to pay more toward their prescription drugs; their premiums and deductibles will rise faster; and Medicare will face insolvency much sooner because of lost funding and cost cutting measures. With the help of Kiplinger’s Retirement Report, here is a more detailed breakdown of what happens to Medicare if the court invalidates the law. Preventive care services will no longer be free: Thanks to the ACA, there’s no copayment or deductible for potentially life-saving screenings for cancer, diabetes, cardiovascular disease and other illnesses. Flu shots and annual wellness visits are also free. Before the ACA, benefi ciaries had to pay 20 percent of the cost for most preventive care services, after their deductible was met. The doughnut hole will return: Since 2011 the ACA has been steadily closing the prescription drug coverage gap, also known as the doughnut hole, in Medicare Part D by requiring drug manufacturers and insurers to pick up more of the cost. The hole was fi nally closed this year with seniors paying 25 percent of the cost for both generic and brandname medications and manufacturers picking up 70 percent of the tab, while insurers kick in the remaining fi ve percent. Before the ACA, seniors paid 100 percent of Part D prescription drug expenses while in the doughnut hole. Medicare premiums and deductibles will rise faster: The ACA also curbed Medicare payments to providers to help keep Medicare Part A deductibles and copayments in check. Similarly, Part B premiums and deductibles are much lower than projected before the ACA became law. From 2011 to 2020, Part B premiums increased 23 percent. From 2000 to 2009 – the nine years before the law’s passage – Part B premiums rose almost fi ve times faster, increasing 112 percent over that period. Medicare Advantage plans will be more expensive: The ACA requires Medicare Advantage plans to spend 85 percent of premium dollars on health care, not profi ts or overhead. The plans also can’t charge more than traditional Medicare for chemotherapy, renal dialysis, skilled nursing care and other specialized services. Those restrictions dramatically lowered costs for Medicare Advantage plan enrollees. Since the ACA became law in 2010, the average Medicare Advantage premium has decreased by 43 percent while enrollment has increased 117 percent. Insolvency accelerates: The ACA extended the solvency of the program’s trust fund by eight years to 2026, mostly by fi nding new sources of revenue and slowing the growth of payments to all providers. The Congressional Budget Offi ce estimates that reversing those changes would cost the program $700 billion over 10 years, which would make Medicare almost immediate insolvent. Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
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